Individual provider Active NPI

Isaac Okechukwu Okoye, R.PH

  • Pharmacist
  • Pinon, AZ
National Provider Identifier
1114257565
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03316871 Issued in OH
Practice address
Pinon Route 4
At Pinon Pharmacy
Pinon, AZ 85610
Phone
(928) 725-9500
Fax
(928) 725-9542
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03316871 OH Primary

Addresses

Primary practice location

Pinon Route 4
At Pinon Pharmacy
Pinon, AZ 85610

Mailing address

19450 Lorain Rd
Apt # 210W
Fairview Park, OH 44126-1975
Phone (440) 356-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03316871OHMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1114257565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19450 LORAIN RD",
            "address_2": "APT # 210W",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261975",
            "telephone_number": "440-356-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINON ROUTE 4",
            "address_2": "AT PINON PHARMACY",
            "city": "PINON",
            "state": "AZ",
            "postal_code": "85610",
            "telephone_number": "928-725-9500",
            "fax_number": "928-725-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOYE",
        "first_name": "ISAAC",
        "middle_name": "OKECHUKWU",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03316871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.